Intersectionality in Black Maternal Health Experiences: Implications for Intersectional Maternal Mental Health Research, Policy, and Practice

Author:

Gilliam Shantesica M.1ORCID,Hylick Kandyce2,Taylor Erica N.2,La Barrie Dominique L.3,Hatchett Emily E.2,Finch Morgan Y.2,Kavalakuntla Yashaswini2

Affiliation:

1. Environmental and Health Sciences Department Spelman College Atlanta Georgia

2. Department of Health Promotion and Behavior University of Georgia Athens Georgia

3. Department of Psychology University of Georgia Athens Georgia

Abstract

IntroductionBlack women experience significant maternal mortality and morbidity disparities in the United States. Although emerging research has focused on reducing maternal mortality rates among Black birthing individuals, we must explore structural and social factors contributing to mental health outcomes during the perinatal period. Gaps exist where intersectional identities and experiences in maternal and child health are examined. This study explores the intersectional stress experiences of Black perinatal women in the South.MethodsWe collected qualitative data through virtual semistructured interviews with 9 pregnant and 7 postpartum participants (N = 16).These interviews assessed feelings, attitudes, and perceptions about psychological stress due to their intersectional experiences of being Black, pregnant, and a woman in the United States. Findings were analyzed through the lens of critical race theory and intersectionality.ResultsWe identified 5 overarching themes: (1) perinatal mental health experiences, (2) birthing and parenting while Black, (3) socioeconomic factors, (4) how we cope, and (5) community and social support.DiscussionOverall, this study revealed how the layers of race, gender, pregnancy, and socioeconomic status influence mental health during the perinatal period. These findings show the need for antiracist and intersectional maternal mental health policies and practices.

Publisher

Wiley

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